Active NPI
Prashantkumar Chhaganlal Gajera, D.D.S.
- Dentist
- Dallas, TX
National Provider Identifier
1982044855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 29185
- Practice address
- 3030 LBJ Fwy
Suite 1400
Dallas, TX 75234-7781 - Phone
- (972) 488-1899
- NPI assigned
- Jun 25, 2013
- Last updated
- Jun 16, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 29185 | TX | Primary |
Addresses
Primary practice location
3030 LBJ Fwy
Suite 1400
Dallas, TX 75234-7781
Mailing address
4104 Lassen LN
Irving, TX 75063-1248
Phone (201) 665-5553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29185 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ruh Gajera PLLC | Current | Accepting new patients |
Locations
2200 Airport Fwy
Ste 480
Bedford, TX 76022
Phone (201) 665-5553
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592265600000",
"number": "1982044855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4104 LASSEN LN",
"city": "IRVING",
"state": "TX",
"postal_code": "750631248",
"telephone_number": "201-665-5553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 LBJ FWY",
"address_2": "SUITE 1400",
"city": "DALLAS",
"state": "TX",
"postal_code": "752347781",
"telephone_number": "972-488-1899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAJERA",
"first_name": "PRASHANTKUMAR",
"middle_name": "CHHAGANLAL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-25",
"last_updated": "2020-06-16",
"certification_date": "2020-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "29185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.